Provider Demographics
NPI:1942327457
Name:OSTER, JOAN D (RN,BSN,CDOE)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:D
Last Name:OSTER
Suffix:
Gender:F
Credentials:RN,BSN,CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WAGON WHEEL LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3411
Mailing Address - Country:US
Mailing Address - Phone:401-724-1118
Mailing Address - Fax:
Practice Address - Street 1:186 CASS AVE
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4712
Practice Address - Country:US
Practice Address - Phone:401-769-9355
Practice Address - Fax:401-765-1721
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI20756163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI413482OtherBLUE CHIP
RI31461-3OtherBLUE CROSS